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General NPI Number Information
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NPI Number | 1477853844
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Entity Type | Organization
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Legal Business Name | RODOLFO A MUNERA
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Dates
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Enumeration Date | 11/01/2010
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Last Update Date | 12/05/2011
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Provider Practice Location Address
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Address Line | 1001 CLIFTON AVE STE 1B
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City | CLIFTON
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State | NJ
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Zip | 07013-3586
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Country | US
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Telephone | 973-472-8000
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Fax | 973-472-5900
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Provider Business Mailing Address
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Address Line | 40 MITCHELL AVE
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City | WEST CALDWELL
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State | NJ
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Zip | 07006-7806
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Country | US
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Telephone | 973-472-8000
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Fax | 973-472-5900
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Authorized Official
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Title or Position | OWNER
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Name | DR. RODOLFO A MUNERA
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Credential | MD
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Telephone | 973-472-8000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | 25MA06013600
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License Number State | NJ
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